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1301:7912Outofservice, closureinplace, permanent removal, changeinservice, and closure assessment of MUST systems.(A) Purpose and scope. For the purpose of prescribing rules pursuant to section 3737.88

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How to fill out 13017-9-12 out-of-service closure-in-place permanent

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To fill out the 13017-9-12 form for out-of-service closure-in-place permanent, follow these steps:

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Begin by providing the necessary identification information at the top of the form, including your name, contact information, and the date of submission.

03

Indicate the location of the closure-in-place permanently by providing the address or other relevant details.

04

Specify the reason for the closure-in-place permanent and provide any additional details or supporting documentation as required.

05

Provide information on the closure method being implemented, such as barriers or signs used to ensure proper closure.

06

Outline the measures taken to ensure public safety during the closure, including any alternative routes or access arrangements provided.

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Indicate the duration of the closure and any planned maintenance or remedial work to be carried out during this period.

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Provide any additional comments or remarks regarding the closure-in-place permanent, if necessary.

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Sign and date the form to certify the accuracy and completeness of the information provided.

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Submit the completed form as per the instructions provided by the relevant authority or organization.

Who needs 13017-9-12 out-of-service closure-in-place permanent?

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9-12 out-of-service closure-in-place permanent is needed by individuals or organizations responsible for implementing a permanent closure for a specific location. This could include construction companies, government agencies, or private entities who require closure for maintenance, repairs, or safety reasons. The form facilitates the documentation and authorization process for carrying out such closures in a proper and regulated manner.

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